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Ann Thorac Surg 2002;73:657-659
© 2002 The Society of Thoracic Surgeons

Case report

Isolated left ventricular ischemia after the Norwood procedure

Joseph J. DeRose, Jr, MDa, Rozelle Corda, NPa, M. Renate Dische, MD, PhDa, Jennifer Eleazar, MDa, Ralph S. Mosca, MD*a

a Division of Pediatric Cardiac Surgery and Department of Pathology, Columbia University College of Physicians and Surgeons, New York, New York, USA

Accepted for publication June 22, 2001.

* Address reprint requests to Dr Mosca, Pediatric Cardiac Surgery, Columbia-Presbyterian Medical Center, 3959 Broadway, BHN 274, New York, NY 10032, USA
e-mail: rm891{at}columbia.edu

Aortic atresia is the most severe variant of hypoplastic left heart syndrome (HLHS), and has been associated with significant mortality after stage I palliation. Coronary artery abnormalities are more prominent in this group of patients, especially in the presence of a patent mitral valve. Herein, we describe a case of isolated left ventricular ischemia after the Norwood procedure in a neonate with hypoplastic left heart syndrome, left ventricular hypertrophy, mitral stenosis, aortic atresia, and anomalous left coronary artery.




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